Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on healthcaremagic. Althea is a drug used to prevent unwanted pregnancy and fix the menstrual cycle since it contains estrogen. But as the other contraceptive drugs it have side effects like the one you are experiencing spotting . Don t worry for that, it is common during first cycles that you are on the pill, since the hormones are not stabilized yet. After a while this side effect will stop and your menstrual cycle will be regular. It may take up to the second cycle. If you have other complains and symptoms that seems unbearable to you, please talk to your gynecologist. I hope this answer was helpful to you! Please kindly rate it and write a short review about your experience with me! Thank you and best regards! DR ERIOL.